R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

2.41.11.2.5 StructureDefinition: ClinicalDocument - Mappings

(No assigned work group) Maturity Level: 1Informative Use Context: Any

Mappings:

Workflow Pattern

RIM Mapping

CDA (R2)

W5 Mapping

Mappings for the clinicaldocument Profile.

2.41.11.3 Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

Clinical Document Profile for Composition
CompositionEvent
   id
   meta
   implicitRules
   language
   text
   contained
   extension
   modifierExtension
   identifierEvent.identifier
   statusEvent.status
   typeEvent.code
   classEvent.subject
   subject
   encounterEvent.context
   dateEvent.occurrence[x]
   authorEvent.performer
   title
   confidentiality
   attester
      id
      extension
      modifierExtension
      mode
      time
      party
   custodian
   relatesTo
      id
      extension
      modifierExtension
      code
      target[x]
   event
      id
      extension
      modifierExtension
      code
      period
      detail
   section
      id
      extension
      modifierExtension
      title
      code
      text
      mode
      orderedBy
      entry
      emptyReason
      section

2.41.11.4 Mappings for RIM Mapping (http://hl7.org/v3)

Clinical Document Profile for Composition
CompositionEntity. Role, or Act
   id
   meta
   implicitRules
   language
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifierDocument.id / Document.setId
   statusinterim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
   type./code
   class.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   subject.participation[typeCode="SBJ"].role[typeCode="PAT"]
   encounterunique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
   date.effectiveTime[type="TS"]
   author.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
   title./title
   confidentiality.confidentialityCode
   attester.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
      idn/a
      extensionn/a
      modifierExtensionN/A
      modeunique(./modeCode)
      time./time[type="TS" and isNormalDatatype()]
      party./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
   custodian.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
   relatesTo.outboundRelationship
      idn/a
      extensionn/a
      modifierExtensionN/A
      code.outboundRelationship.typeCode
      target[x].target[classCode="DOC", moodCode="EVN"].id
   eventoutboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
      idn/a
      extensionn/a
      modifierExtensionN/A
      code.code
      period.effectiveTime
      detail.outboundRelationship[typeCode="SUBJ"].target
   section./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
      idn/a
      extensionn/a
      modifierExtensionN/A
      title./title
      code./code
      text.text
      mode.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
      orderedBy.outboundRelationship[typeCode=COMP].sequenceNumber > 1
      entry.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
      emptyReason.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
      section./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]

2.41.11.5 Mappings for CDA (R2) (http://hl7.org/v3/cda)

Clinical Document Profile for Composition
CompositionClinicalDocument
   id
   meta
   implicitRules
   language
   text
   contained
   extension
   modifierExtension
   identifier.setId
   statusn/a
   type.code
   classn/a
   subject.recordTarget
   encounter.componentOf.encompassingEncounter
   date.effectiveTime
   author.author.assignedAuthor
   title.title
   confidentiality.confidentialityCode
   attester.authenticator/.legalAuthenticator
      id
      extension
      modifierExtension
      modeimplied by .authenticator/.legalAuthenticator
      time.authenticator.time
      party.authenticator.assignedEnttty
   custodian.custodian.assignedCustodian
   relatesTo.relatedDocument
      id
      extension
      modifierExtension
      code.relatedDocument.typeCode
      target[x].relatedDocument.id
   event.documentationOf.serviceEvent
      id
      extension
      modifierExtension
      code.code
      period.effectiveTime
      detailn/a
   section.component.structuredBody.component.section
      id
      extension
      modifierExtension
      title.title
      code.code
      text.text
      moden/a
      orderedByn/a
      entry.entry
      emptyReasonn/a
      section.component.section

2.41.11.6 Mappings for W5 Mapping (http://hl7.org/fhir/w5)

Clinical Document Profile for Composition
Compositioninfrastructure.documents
   id
   meta
   implicitRules
   language
   text
   contained
   extension
   modifierExtension
   identifierFiveWs.identifier
   statusFiveWs.status
   typeFiveWs.class
   classFiveWs.class
   subjectFiveWs.subject[x]
   encounterFiveWs.context
   dateFiveWs.done[x]
   authorFiveWs.author
   title
   confidentiality
   attester
      id
      extension
      modifierExtension
      mode
      time
      partyFiveWs.witness
   custodian
   relatesTo
      id
      extension
      modifierExtension
      code
      target[x]
   event
      id
      extension
      modifierExtension
      code
      period
      detail
   section
      id
      extension
      modifierExtension
      title
      code
      text
      modeFiveWs.class
      orderedBy
      entry
      emptyReason
      section